I chose Trupanion over several different providers for pet insurance due to several reasons. First being I got to choose the coverage I wanted for my pet. The policy has no cap on coverage limit and you can add coverage to the policy for different diseases that effect specific breeds i.e. hip displysia for large breed dogs. Me being the over analyser of everything I even made a spreadsheet comparing the different plans offered from other providers and all in all Trupanion came out ahead as being the most affordable choice for what I needed for my pet. We took our dog to the vet on Tuesday and biopsy done on Wednesay, filled out my portion of the claim form and gave it to the vets office to complete their portion on Friday. Got repsonses in my email stating that each claim was being processed that following Monday and by Friday got email approving the claims and how much reimbursement we will be receiving. Check arrived on Monday. It took Trupanion less than 10 days to process the claims and get our reimbursement in the mail. NOW THATS GREAT CUSTOMER SERVICE. We paid out $1700 in two days for our dog and was reimbursed almost $1100. I am so impressive with the customer service Trupanion provided I would recommend them to anyone and everyone that cares for their pets!